Konawa Medicaid Evaluation and Management payments increase to $346,204 in 2024

In 2024, Medicaid providers in Konawa submitted Evaluation and Management service claims totaling $346,204, according to information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure marks a jump of 129080.6% compared to 2023, when only $268 in claims were recorded for the category.

Medicaid, one of the largest programs in the U.S. health care system, is a public health insurance initiative managed by states in partnership with the federal government. The program provides coverage to low-income families and individuals, seniors, children, and people with disabilities.

Because Medicaid payments are publicly funded, fluctuations in local billing levels help track how community health care resources are being used.

The Evaluation and Management category encompasses a range of Medicaid-billed services sorted by care type using nationally standardized HCPCS and CPT code groupings. Each billing code is assigned to a single category using fixed code prefixes and number ranges, ensuring that related services are grouped without duplication and that rankings across years remain comparable.

Evaluation and Management ranked as the second-highest Medicaid payment category in Konawa in 2024, although several other spending categories also recorded gains.

Statewide in Oklahoma, Evaluation and Management services received the most Medicaid funding in 2024.

Between 2019 and 2024, Medicaid payments for Evaluation and Management services in Konawa rose by $346,164, or 862391.3%. The most pronounced annual increases took place in 2021 and 2022.

Though spending was reported in multiple city neighborhoods, 2024 payments for Evaluation and Management services were concentrated in a small number of ZIP codes. The highest activity came from ZIP code 74849, which represented $346,204—accounting for 100% of such Medicaid payments in Konawa during the year.

Most payments in the Evaluation and Management category in Konawa were attributed to a small group of specific billing codes in 2024.

Comparatively, Medicaid spending on Evaluation and Management surged 129080.6% from 2023 to 2024, whereas the aggregate for all Medicaid categories in Konawa increased by 123.9% during the same time.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays totaled around $871.7 billion in fiscal 2023, making up about 18% of total national health expenditures. That amount is significantly higher than the roughly $613.5 billion spent in 2019, prior to the onset of the COVID-19 pandemic.

This nearly 40% growth in a short period corresponded with expanded program enrollment and increased service use during and following the pandemic.

Recent federal budget measures under the Trump administration featured major proposals aimed at reducing the federal share of Medicaid and altering the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to cut more than $1 trillion in federal Medicaid support over the next 10 years— with changes including work requirements and higher cost sharing that could limit access and funding for some beneficiaries. These shifts are forecast to assign additional responsibility to state budgets and slow federal spending growth, while Medicaid continues serving tens of millions nationally.

Note: HCPCS codes are shown for context within the category. Category totals and rankings in this article are based on standardized service groupings rather than individual billing codes.

Information in this article was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be found here.